Comparative Study between Open and Closed Hemorrhidectomy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Haemorrhoids are defined as enlarged anal cushions, which are comprised of the ano-rectal lining and an engorged vascular plexus below it, in the loose areolar tissues.1 Hemorrhoids are varicosities of the hemorrhoidal plexus of veins of the rectum.Hemorrhoids are the penalty the humans pay for attainment of erect posture. It is common disease affecting people of all ages and both sexes2 . It has been estimated that 50% of the population has haemorrhoids by the age of 50 years3, 4 and these are supposed to be the commonest cause of rectal bleeding 5 . Haemorrhoidectomy remains the treatment of choice for symptomatic grade-III and IV hemorrhoids, either by injection sclerotherapy, rubber band ligation, cryotherapy , infrared coagulation, bipolar diathermy and Lord’s dilatation. circular stapler, harmonic scalpe, ,ligasure, laser and a bipolar electro-cautery or most commonly by open hemorrhoidectomy(Milligan-Morgan) or closed hemorrhoidectomy(Ferguson) method. The present study was undertaken on 70 patients admitted in Dept. Of General Surgrery,Siddhartha Medical College,Vijayawada who are randomized to both open and closed techniques of hemorhoidectomy and compared with the outcome of the two techniques. Aims and Objectives Aim: the aim of study is to compare closed v/s open haemorrhoidectomy regarding post-operative wound healing, pain and postoperative course. Objectives: to compare open haemorrhoidectomy with closed haemorrhoidectomy in regard to ● Post-operative pain. ● Rate of healing. ● Postoperative course for 3weeks,6 weeks and 3 months follow up.
Authors and Affiliations
Dr. P. Nancharaiah, MS, Dr. Bharath Vamsi bogavalli,MS. Vamsi bogavalli,MS., Dr. M. C. Venkateswarulu,MS.
Keywords
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- EP ID EP362398
- DOI 10.9790/0853-1702065962
- Views 61
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